| NPI | 1174952642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT P PULLIAM Periodontist/Owner 615-297-8973 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: TN DS007739) |
| Enumeration Date | 2013-11-05 |
| Last Update Date | 2020-01-06 |